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Charity Application

Please complete the following application to request participation in the program and sign up for the Basic Plan (The Prime and Advantage plans require additional information). The Basic Plan is currently only available to US nonprofits.

All fields are required.

Your Name:
Your Email:
Your Title:
Organization Name:
Mailing Address:
City:
State:
Zipcode:
Telephone:
CEO Name:
CEO Email:
CEO Title:
501(c)3 Status: Yes   No  Pending
Federal ID No.:
You must provide a Federal ID Number (EIN) to participate in this program. If you do not have one, download the application below, fill it out and fax it to the IRS. There is not charge to get an EIN and they usually fax back your number within 2-4 business days.
SS4 Application for EIN (27.9K) PDF
SS4 Instructions (43.8K) PDF
Get Acrobat PDF Reader (free download)
Website URL:
Logo Graphic: A logo is recommended in your listing. Provide URL to your logo graphic on your website.
Plan Type:
Category:
If Other, please specify:
Donation Purposes:
You may change these fields to suit your needs (1-3 word descriptions only)
1:
2:
3:
4:
5:
Mission Statement or description of your organization to be displayed on your donation page. This is your public statement. Word it well. Check your spelling.
Fundraising software that you are using:
Referred by:

Comments or additional information:

By submitting this application, you agree to make payment upon approval and to abide by the terms and conditions of participation.

Yes, I agree.



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